Individual
COURTNEY GREENFADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5102 MUSEUM DR, OAK LAWN, IL 60453-7005
(617) 863-9090
Mailing address
405 N WABASH AVE, CHICAGO, IL 60611-3591
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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